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doi: 10.1007/s00296-010-1549-4 Summary Keywords antinuclear antibodies (ANA), autoimmune diseases, carbon monoxide (CO), cotinine, e-cigarettes, National Health and Nutrition Examination Survey (NHANES), tobacco smoking, vaping Citation Dinse GE, Weinberg CR, Parks CG, Co CA, Priest JT, Chan EKL and Miller FW (2025) Decreased cigarette smoking may partially explain the increased prevalence of antinuclear antibodies in the United States

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It can cause, or worsen, several different chest, heart and stroke conditions including: Heart disease COPD Heart attack Stroke High blood pressure Lung cancer Why give up smoking